DR. TRACEY LYNNE VENNING (NPI# 1730218967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730218967 |
| Entity Type | Individual |
| Full Name | DR. TRACEY LYNNE VENNING |
| Credential | M.D. |
| Practice Address |
1600 S Canton Center Rd Canton MI 48188-1992 |
| Mailing Address |
24 Frank Lloyd Wright Dr Ste J2000 Ann Arbor MI 48105-9484 |
| Practice Telephone | 7348448743 |
| Practice Fax Number | 7348448744 |
| Mailing Telephone | 7347476766 |
| Mailing Fax Number | 7342223100 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 4301084094 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
1600 S CANTON CENTER RD |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314948 | David Howard Seaman | Specialist | 1600 S Canton Center Rd, Ste 360, Canton, MI 48188-0004 | 2005-05-24 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1750839882 | Ronald P Adelman Dpm Pllc | Podiatrist | 1600 S Canton Center Rd, #2200, Canton, MI 48188-1992 | 2016-09-19 |
| 1275984239 | Farnaz Adibi | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2016-06-30 |
| 1982051215 | Iha Health Services Corporation | Pediatrics | 1600 S Canton Center Rd, Suite 200, Canton, MI 48188-1992 | 2016-05-17 |
| 1659760361 | Diabetes, Thyroid & Endocrinology Clinic Pllc | Internal Medicine | 1600 S Canton Center Rd, Suite 2200, Canton, MI 48188-1992 | 2015-01-19 |
| 1831533686 | Todd Rojaih Mcherron Jr. | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2013-04-24 |
| 1619239043 | Dhwani Patel | Physician Assistant | 1600 S Canton Center Rd, Suite 140, Canton, MI 48188-1992 | 2012-06-12 |
| 1417245515 | Raza Ali | Family Medicine | 1600 S Canton Center Rd, Suite 1200, Canton, MI 48188-1992 | 2011-07-11 |
| 1194011320 | Nicole Rose Knisley | Physician Assistant | 1600 S Canton Center Rd, #140, Canton, MI 48188-1992 | 2011-06-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831417278 | Carli Jo Blomquist | Emergency Medicine | 201 Hospital Road, Northside Hospital - Cherokee, Canton, GA 30114 | 2010-05-10 |
| 1841481314 | Randy Guy Allison | Emergency Medicine | 1920 34th St Nw, Canton, OH 44709-2731 | 2007-08-08 |
| 1760529523 | Ruchir K. Khurana | Emergency Medicine | 551 Riverstone Pkwy, Suite 100, Canton, GA 30114-5292 | 2007-01-31 |
| 1558372086 | Gregory Healey | Emergency Medicine | 25 Park St, Canton, NY 13617-1265 | 2006-08-10 |
| 1750399655 | Martha J Shadel | Emergency Medicine | 7300 Canton Center Dr, (emergency Dept), Canton, MI 48187-1579 | 2006-08-04 |
| 1578594057 | Allen Randle Beecham | Emergency Medicine | 2000 Village Professional Dr, Suite 200, Canton, GA 30114-8498 | 2006-07-05 |
| 1043270663 | Dwayne Bernard | Emergency Medicine | 500 Westwood Blvd, Canton, IL 61520-9532 | 2006-03-27 |
| 1619943743 | Dean W Varian | Emergency Medicine | 2725 Lincoln St. E, Canton, OH 44707 | 2006-02-28 |
| 1720067606 | David Weaver | Emergency Medicine | 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-10 |
| 1043298136 | Chada Natalie Reddy | Emergency Medicine | 7300 Canton Center Road, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.